Organization
PENTAGON DENTAL GROUP, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS MICHAEL J PERPICH D.D.S. (CO-PRESIDENT)
(952) 835-3383
Entity
Organization
Contact information
Practice address
4940 VIKING DR STE 127, EDINA, MN 55435-5306
(952) 835-3383
(952) 835-2818
Mailing address
4940 VIKING DR STE 127, EDINA, MN 55435-5306
(952) 835-3383
(952) 835-2818
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/10/2006
Last updated
08/22/2020
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